CMS Formulary

Displaying 201481-201490 of 1611142 results.
ID: 201481
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 562266
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201482
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 863669
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201483
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201484
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 402246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201485
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 402247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201486
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 664741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201487
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 833528
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201488
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 722134
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201489
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 722137
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201490
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 722126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1